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General NPI Number Information
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NPI Number | 1598441602
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Entity Type | Organization
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Legal Business Name | STORM LAKE CAB LLC
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 1237 HIGHWAY 7
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City | STORM LAKE
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State | IA
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Zip | 50588-7631
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Country | US
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Telephone | 712-299-8228
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Fax |
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Provider Business Mailing Address
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Address Line | 110 MALLARD AVE
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City | STORM LAKE
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State | IA
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Zip | 50588-7675
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Country | US
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Telephone | 712-299-8228
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Fax | 712-749-8612
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BONI DEWALL
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Credential |
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Telephone | 712-299-8228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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